Individual
MS. JANET MARY BANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCCSLP
Contact information
Practice address
119 WILDER RD, BOLTON, MA 01740-1258
(857) 205-6968
Mailing address
119 WILDER RD, BOLTON, MA 01740-1258
(857) 205-6968
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3074
MA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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